9-12 Please answer all ASAP. Thank you.
9-12 Please answer all ASAP. Thank you. Breathing Problems Larissa is a 15-year-old female of mixed heritage. She had a case of viral pneumonia 6 months ago, but since then she noticed a decline in her respiratory functions. At rest she does not feel much difference, but the symptoms are exacerbated during her sports competition. As co-captain of her high school soccer and basketball team, it has impaired her performance recently. Her mother also mentions that the symptoms worsen when she had a cold 3 weeks ago and during hay season last May. She is brought in for a spirometry exam. The results: normal FEV1/FVC ratio and FEV1>80%. Larissa is diagnosed with mild persistent asthma. She has been prescribed a low-dose inhaled glucocorticoid (IGC) against the inflammation and a short-acting inhaled beta-agonist (SABA) for acute attacks. You proceed to educate Larissa and her mother about asthma, the proper use of asthma medications and answer their questions. 9 (1 point) Considering her age, what adverse effect related to IGC is she at higher risk compared to an adult in a similar situation? 9 options: Opportunistic Infections Adrenal Suppression Gluccorticoid-induced diabetes mellitus Stunted Growth 10 (1 point) ‘That scares me!’ says Larissa’s mom. Why can’t we use an NSAIDs like Aspirin or Advil against the inflammation? Are they not much safer? You respond that: 10 options: NSAIDs are not strong enough for cases of asthma NSAIDs would exacerbate her symptoms NSAIDs have significant interactions with the SABA NSAIDs have worst toxicity than low-dose IGC 11 (1 point) What should Larissa do before her sport practices and games to minimize symptom exacerbation? You tell them that she should: 11 options: Use the inhaled glucocorticoid immediately before the physical activity Use the SABA PRN (as needed) Use the SABA immediately before the physical activity Increase the dosage of the IGC 12 (1 point) Larissa’s mom says that she read in an article that asthma is frequently misdiagnosed in place of COPD. How do we know Larissa doesn’t have COPD? You respond that: 12 options: It doesn’t matter, the drugs are the same for both pathologies COPD is chronic whereas asthma symptoms are intermittent FEV1/FVC was normal FEV1 WAS OVER 80% SCIENCE HEALTH SCIENCE NURSING ECHOM 1001,23
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